Ringgold County Hospital
Organization Active NPI Rural Health Clinic/Center · Mount Ayr, IA
NPI 1154720878 · NPPES record last updated Aug 22, 2014
Key facts
- NPI
- 1154720878
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- RINGGOLD COUNTY HOSPITAL
- Practice address
- 504 N Cleveland St
Ste M
Mount Ayr, IA 50854-2201 - Phone
- (641) 464-4470
- Fax
- (641) 464-4414
- NPI assigned
- Aug 19, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- RINGGOLD COUNTY HOSPITAL
Authorized official
- Name
- Ms. Teresa A. Roberts
- Title
- Cfo
- Phone
- (641) 464-4422
Parent organization (reported in NPPES) 1
Owners & managing parties with NPI records 1
-
Kathleen Quinn Willcox, D.O.
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 7
Related certifications (CCN) 2
Facilities with the same owner 98
Practitioners 45
-
Denise Marie Coleman, ARNP
-
Kristen D Collier, ARNP
-
Rebecca Devine, DNP, PMHNP-BC
-
Haroon Ferhut, M.D.
-
Michelle Joyce Fischer-Short, ARNP, FNP-BC
-
Melissa Dawn Friedrich, CRNA
-
Kasandra Jane Higdon, ARNP, FNP-BC
-
Erin Rachel Leonard, ARNP
-
Enrico Lopez Martin, M.D.
-
Bruce W. Ricker, D.O.
-
Jean Ann Schmitt, A.R.N.P.
-
Ryan Schulte, MD
-
Cole William Strain, ARNP, FNP-BC, FNP-C
-
Kathleen Quinn Willcox, D.O.
-
Bella Michelle Birdashaw, ARNP
-
Jennifer L Moretina, M.D.
-
Jacqueline M Stanzel, APRN
-
Edwin V Wehling, D.O.
-
Amanda Dawn Wilford, FNP-BC
-
Benjamin Robert Beecher, M.D.
-
Patrick C Chua, M.D.
-
Rodney James Clark, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Rural health clinic certification: CCN 168570
- Legal name
- RINGGOLD COUNTY HOSPITAL
- Doing business as
- MOUNT AYR MEDICAL CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Sep 2, 2015
- Last certification
- Jul 13, 2018
- Ownership / control type
- Non-profit – church related
- Organization structure
- Other · Non-profit
- Enrollment address
- 504 N Cleveland St
Ste M
Mount Ayr, IA 50854-2201 - Related CCNs
- 161373
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Karleen a Stephens |
Corporate Director | Jan 17, 2011 | |
| Christopher J Elwood |
Corporate Director | Jan 23, 2023 | |
| Melissa D Walter |
Corporate Officer |
Jan 1, 2019 | |
| W-2 Managing Employee |
Jan 1, 2019 | ||
| Operational/Managerial Control |
Jan 1, 2019 | ||
| Edward R Daily |
Corporate Director | Sep 16, 2019 | |
| Contessa R Barnes |
Corporate Officer | Jan 23, 2023 | |
| Corporate Director | Jan 19, 2015 | ||
| Mercy Health Network Inc |
Operational/Managerial Control | Nov 1, 2012 | |
| Leslie Dredge-Murphy |
W-2 Managing Employee |
Sep 2, 2015 | |
| Operational/Managerial Control |
Sep 2, 2015 | ||
| Greg a Jobe |
Corporate Director | Jan 19, 2009 | |
| Kathleen Q Willcox |
W-2 Managing Employee |
Dec 13, 2021 | |
| Operational/Managerial Control |
Dec 13, 2021 | ||
| Michael L Hopkins |
Corporate Officer | Jan 19, 2015 | |
| Corporate Director | Jan 21, 2013 | ||
| Nicholle Gilbertson |
Contracted Managing Employee |
Apr 3, 2023 | |
| Corporate Officer |
Apr 3, 2023 | ||
| Operational/Managerial Control |
Apr 3, 2023 | ||
| Kimberly a Bishop |
Corporate Officer | Jan 23, 2023 | |
| Corporate Director | Jul 25, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150513000809 | IA | Part a Provider - Rural Health Clinic | 7315849973 | Practice locations: Mount Ayr, IA |
National Provider Directory
- Tax ID family
- Mount Ayr Medical CL
- Part of
- Mount Ayr Medical CL
Locations
504 N Cleveland St
Ste M
Mount Ayr, IA 50854
Phone (641) 464-4470
202 Dunning Ave
Mount Ayr, IA 50854
Phone (641) 464-2330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
504 N Cleveland St
Ste M
Mount Ayr, IA 50854-2201
Mailing address
504 N Cleveland St
Mount Ayr, IA 50854-2201
Phone (641) 464-4422
Other names
- Mount Ayr Medical Clinic
Other providers in Mount Ayr, IA
- Jerald Joe Phipps
- R.M.H. Incorporated
- Bruce W. Ricker
- Ringgold County Group Home
- Ringgold County Hospital
- Ringgold County Hospital
- Ringgold County Hospital
- Ringgold County Hospital
- Ringgold County Hospital
- Ringgold County Hospital
All providers in Mount Ayr, IA · Rural Health Clinic/Center in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.